CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Parkview Medical Center, Inc

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $2,046
Cash Discount Price: $1,574
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Parkview Medical Center, Inc is $2,046. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,574. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.67x the Medicare baseline. Located in 400 W 16Th St, Pueblo, CO.

Cash / Self-Pay

$1,574

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,046

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $1,574 (129%)

Insurance Median: $2,046 (167%)

Cash: $1,574 (129% of Medicare)

Ins. Median: $2,046 (167% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$1,002 - $5,571	82%
Simplified Benefits Administration	$1,023 - $1,063	84%
Aetna	$1,185 - $9,888	97%
Cms	$1,185	97%
Humana	$1,185	97%
Kaiser	$1,185 - $3,305	97%
Select Health	$1,185 - $2,607	97%
UnitedHealthcare	$1,185 - $6,686	97%
Cigna	$1,303 - $7,788	107%
Denver Health Medical Plan	$1,968	161%
Multiplan/Phcs	$2,401	196%
Rocky Mountain Health Plans	$2,597	212%
First Health	$2,715	222%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,574.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkview Medical Center, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.